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Assistant Director Of Health Information Management Resume

Bergenfield, NJ

March 7, 2011


To Whom It May Concern,

I am interested in exploring the possibility of joining your team as a NextGen EMR Trainer.

I wish to call your attention to my 20 years of extensive experience in various multi-faceted, multi-dimensional healthcare facilities.As a Health Information Management Assistant Director and Consultant, I am familiar with the clinical process and the importance of well-managed, streamlined electronic health records that offer interoperability within the healthcare continuum. The development of electronic health records as a mainstream integration with healthcare is long overdue, and it is my mission to improve the quality and coordination of healthcare.

I have trained and assisted physicians in the usage of clinical software including Eclipsys EHR, dictation equipment and accurate documentation. I was part of the implementation team that developed and rolled out Eclipsys EHR in ambulatory sites, emergency room, and Psychiatry Department. I also created and implemented a QI program, based on The Joint Commission Guidelines, across 30 outpatient medical practices by creating review tools, auditing records, generating reports of findings and providing training to physicians and staff regarding documentation improvement.

My proficiency in technology and industry software, dovetailed with my ability to impart information renders me an asset to any electronic medical record system. I am eager to learn more about the position offered. I welcome the opportunity to elaborate on my skills.


OBJECTIVE To improve the efficiency of medical care utilizing my healthcare experience, technological expertise, and effective communication skills.


Confidential, Bronx, NY
Assistant Director of Health Information Management, 08/2008 - 10/2010

  • Implemented Eclipsys EHR in ambulatory sites, emergency room and Psychiatry
  • Trained and assisted medical staff in the use of Eclipsys EHR, Streamline, and dictation equipment
  • Created clinical documentation improvement compliance program
  • Led The Joint Commission Quality Improvement for Information Management and Record of Care Teams for 2 inpatient hospitals and 30 medical practices
  • Provided classroom education regarding accurate documentation in compliance with The Joint Commission and CMS (Centers for Medicaid and Medicare Services) requirements.
  • Audited outpatient records of all ambulatory sites for quality and accuracy and prepared performance improvement reports
  • Identified a myriad of physician dictation errors and provided assistance for correction
  • Managed medical record completion and reduced delinquency rates
  • Corresponded with attorneys, federal & state agencies, third party payers, and families in accordance with legal standards
  • Chaired Medical Records Committee Meetings
  • Assumed responsibility for the department in Directors absence
  • Proficient in Eclipsys, LastWord, Streamline, 3M and Patcom
  • 51 FTE's

Confidential, West Windsor, NJ
HIM Manager, 11/2007 - 05/2008

  • Built client personal electronic health records
  • Provided technical support to clients
  • Organized the collection and tracking of client enrollment and their medical records
  • Planned and applied naming convention for record input
  • Corresponded with medical providers in the collection and verification of client specific information

Confidential, Oakland, NJ
HIM Consultant, 5/07 - 12/2008

  • Provided professional resources regarding health information, documentation, regulations and standards of practice
  • Streamlined operations into electronic format
  • Educated staff regarding documentation guidelines, improvement and HIPAA
  • Audited records for compliance with regulations and practices
  • Monitored HIM Department operations for efficiency and recommend corrective action
  • Assisted facility in preparation for state survey
  • Created, updated and implement HIM Policies & Procedures

Confidential, Wayne, NJ
HIM Manager, 3/2006 - 11/2007

  • Planned, organized, and directed HIM Services for facility opening
  • Trained and assisted staff in the use of Meditech Software
  • Led team reviews of medical records in preparation for JCAHO Survey
  • Educated and trained staff regarding, federal, state and JCAHO documentation guidelines and HIPAA
  • Performed ongoing concurrent chart audits
  • Corresponded with attorneys, federal & state agencies, third party payers, and families in accordance with legal standards
  • Served as liaison between administration and medical staff
  • Abstracted discharge charts
  • Ensured accurate coding
  • Proficient in Meditech Software

Confidential, Rockleigh, NJ
Director of HIM, 10/2003 - 3/2006

  • Conducted record reviews
  • Coded discharge charts on Reliable Software
  • Completed all discharge charts
  • Directed physician privileges and credential program
  • Educated staff regarding documentation and HIPAA regulations
  • Corresponded with attorneys, federal & state agencies, third party payers, and families in accordance with legal standards
  • Developed HIPAA policies and procedures
  • Proficient in Reliable and Accumed Software

Confidential, Bronx, NY Director of HIM, 1997 - 2001

Confidential, Far Rockaway, NY Director of HIM, 1996 - 1997

Confidential, Bronx, NY Director of Medical Records, 1992 - 1996

  • Directed Medicare demonstration project
  • Audited medical records
  • Coded all discharge charts
  • Supervised staff
  • Chaired Forms Committee
Confidential, Newburgh, NY Coding Analyst, 1991 - 1992
  • Coded discharge charts
  • Abstracted discharge charts


A.A.S. Medical Records
A.A. Humanities

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